Individual
LANITA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4779 GOLDEN GROVE DR, GROVEPORT, OH 43125-9388
(614) 835-0212
(614) 835-0217
Mailing address
4779 GOLDEN GROVE DR, GROVEPORT, OH 43125-9388
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
PTA 2169
OH
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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